Title Page
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Document No.
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Peg Maintenance Survey
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Conducted on
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Prepared by
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Location
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Describe where you are starting this survey, e.g.. Peg 1, next to the inlet etc.
Environment around the pool
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What is the condition of the access to the pool, e.g. footpaths
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What is the condition of the access around the pool, e.g. footpaths, overgrown, fallen trees
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Does the pool require any weed, trees or other debris removing?
Peg Condition -please take 3 photos and add notes after each question
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Please describe where you are starting this survey e.g. peg 1, next to the inlet etc.
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From you starting point are you conducting this survey by walking around with the pool on the LEFT or RIGHT
- LEFT
- RIGHT
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What is the condition of the peg you are starting at? For the purposes of this survey only we will call this peg 1
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 2
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 3
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 4
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 5
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 6
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 7
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 8
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 9
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 10
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 11
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 12
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 13
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 14
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 15
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 16
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 17
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 18
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 19
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 20
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 21
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 22
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 23
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 24
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 25
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 26
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 27
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 28
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 29
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What is the condition of the next peg? For the purposes of this survey only we will call this peg 30
Other Findings
Please use this section to add any additional information not captured in previous sections.
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Do you wish to add any additional information?
